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All Journal Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Interdental Jurnal Kedokteran Gigi (IJKG) MDJ (Makassar Dental Journal) Odonto dental journal
Raziv Ganesha
Faculty Of Dentistry, Universitas Mahasaraswati Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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TREATMENT OF HERPES ASSOCIATED ERYTHEMA MULTIFORME (HAEM): TATALAKSANA HERPES ASSOCIATED ERYTHEMA MULTIFORME (HAEM) Raziv Ganesha; Rina Kartika Sari
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 1 (2023): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v19i1.6350

Abstract

Introduction: Herpes Associated Erythema Multiforme (HAEM) is Erythema multiforme (EM) caused herpes virus infection.  EM a caused by an acute hypersensitivity reaction that occurs in the mucocutaneous area. HAEM is hypersensitivity reaction that occurs due to a hypersensitivity reaction to the herpes virus. Case: 17 year old male complaints of itching and dry on his lips since 5 days ago. patient said that ± 7 days ago he had a fever which lasted for 2 days then after the fever went down his lips felt itchy and dry. On clinical examination, desquamation with yellowish brown crusts was found on the vermilion of the upper and lower lips. Case Treatment: patient is given Aloclair® Gel and Becomzet®. Patient is referred for a complete blood count, Total IgE and IgM and IgG HSV-1 antibody testing. The patient was then given hydrocortisone cream 2.5% used 3 times a day. The patient recovered 10 days after the first visit. Discussion: HAEM is triggered by an immunological response in which an immune complex reaction occurs as a result of an immune response to certain antigens such as the herpes simplex virus or certain types of drugs. In cases of HAEM the herpes virus that triggers it is usually HSV-1 & HSV-2. Diagnosis is confirmed by Total IgE and HSV-1 Antibody Tests. Conclucion: Management of cases of HAEM can be successfully determined by establishing the correct diagnosis which requires investigations so that we can rule out the differential diagnosis and provide appropriate treatment
Management of herpes zoster on orofacial in elderly patient: Penatalaksanaan herpes zoster di orofasial pada pasien usia lanjut I Nyoman Gede Juwita Putra; IGN Putra Dermawan; Raziv Ganesha
Makassar Dental Journal Vol. 12 No. 2 (2023): Volume 12 Issue 2 Agustus 2023
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v12i2.769

Abstract

Herpes zoster is a disorder caused by the varicella zoster virus with the characteristics of multiple, painful and unilateral lesi-ons. This case report aims to describe the management of herpes zoster in preventing postherpetic complications in the elderly. A 64-year-old man complained of blisters on his left face and canker sores on the palate and inner cheek for 1 week ago. Two days earlier accompanied by fever 390C. Extraoral examination revealed a hemorrhagic serous crust on the left face, intraoral examination showed multiple ulcers with erosive lesions on the palate, left buccal mucosa and gingiva. The extraoral and in-traoral lesions are unilateral. The working diagnosis of this case was herpes zoster et left orofacial region. The therapy was gi-ven valacyclovir tablets 800mg 5 times/day, NaCl 0.9% compress on the face, and vitamin B complex with zinc. Improve-ment occurred after 1 week of treatment. Appropriate management of herpes zoster in elderly patient can prevent complica-tions of post herpetic neuralgia that most often occur in the elderly.
IDENTIFICATION AND TREATMENT OF ERYTHEMA MULTIFORME INDUCED BY ALLOPURINOL I Nyoman Gede Juwita Putra; Raziv Ganesha; I Gusti Ngurah Putra Dermawan
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 19 No. 2 (2023): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v19i2.7664

Abstract

Introduction: Allopurinol is a xanthine oxidase inhibitor and has become established as the drug of choice for preventing and treating chronic gout. Erythema multiforme (EM) is an immune-mediated reaction that involves the skin and sometimes the mucosa. Many cases of EM are caused by drugs, one of which is allopurinol. The purpose of the case study is to explain the identification of allopurinol as a predisposing factor for EM and how it is treated. Case. A 56-year-old woman came with complaints of scabs on her lips for 1 week ago, and had been treated with corticosteroid ointment for 3 days. Extraoral examination showed hemorrhagic crusts on the upper and lower lips with erosive surrounded by erythematous margins. On the extremity found a target lesion on the right hand. Based on the examination, the patient was diagnosed with Erythema Multiforme with a differential diagnosis of herpes labialis and herpes associated erythema multiforme. Case Management. The therapy in this case was giving antihistamines for 1 week, NaCl 0.9% compresses on the lips for 30 minutes 3 times a day, after 2 weeks of treatment added with the application of 1% hydrocortisone cream as an anti-inflammatory and petroleum jelly on the lips as a moisturizer. Conclusion. Identification of the etiology of this EM case was carried out through anamnesis and history of drugs consumed as well as administration of topical corticosteroids as anti-inflammatories and oral antihistamines to reduce allergic reactions.
Management of Oral Discoid Lupus Erythematosus Raziv Ganesha
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 20 No. 2 (2024): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v20i2.8974

Abstract

Background: Systemic diseases have manifestations in the oral cavity with a variety of lesions that have similar types or forms and can be the first manifestations that appear before the manifestations spread to other areas, therefore a thorough initial examination of the oral cavity is very important to determine indications of systemic conditions. Lupus Erythematosus is an autoimmune disease that is associated with hyperactivity of the immune system, in which the immune system which functions as a protector of the body experiences an abnormality that is unable to distinguish between foreign objects /own cells. Oral Discoid Lupus Erythematosus is a manifestation of Systemic Lupus Erythematosus in the oral cavity. Case: a 47-year-old woman came with complaints of canker sores in her mouth. Canker sores have occurred since the previous 7 months, sometimes heal and then reappear repeatedly. The patient said that she started experiencing thrush after giving birth 10 years ago. Case Management: the patient was referred for a complete blood count and ANA test then the patient was given methylprednisolone 4 mg at a dose of 3x1 a day, topical anti-inflammatory drugs, and B-complex vitamins. Discussion: Oral Discoid Lupus Erythematosus has clinical features of ulcers and erosions surrounded by white striae on the mucosal. Diagnosis confirmed from clinical features and ANA test which showed positive. Conclusions: The treatment was successful because the correct diagnosis with collaboration was made to produce the right treatment plan accompanied by the patient's cooperation in carrying out the treatment
Treatment of Burning Mouth Syndrome Accompanied With Xerostomia and Dysgeusia in Diabetes Mellitus Patients Raziv Ganesha; Ni Nyoman Gemini Sari; I Nyoman Gede Juwita Putra
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 1 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i1.11175

Abstract

Introduction: Burning mouth syndrome is pain in the oral mucosa with or without signs of or without specific signs of lesions. The manifestations of Diabetes in the oral cavity are xerostomia, dysgeusia and burning mouth syndrome. Purpose of this case report is to describe the management of Burning mouth syndrome cases accompanied by Xerostomia and Dysgeusia in patients with Diabetes. Case: A 65-year-old woman presented with complaints of pain felt was a burning sensation on the tongue. patient felt the burning pain during a day but also at night for the past 2 weeks. Case Treatment: The diagnosis in this case is Burning mouth syndrome accompanied by Xerostomia due to Diabetes. Patient was given oxyfresh® for 3x 10 ml and Becomzet® 1x1. The patient had DL, GDP (110), GD2PP (145), HbA1C (7.2), SGOT (27), and SGPT (29) and Sialometry (0.3ml). Patient accepted the treatment and followed the instructions given. Patient was healed on the third visit. Discussions: Burning mouth syndrome is a burning and uncomfortable or stinging feeling with a normal clinical feature. Xerostomia and Dysgeusia are often concurrent symptoms so it is called the triad symptom of burning mouth syndrome. Treatment with oxyfresh® which contains xylitol as an antimicrobial that reduces the risk of caries, zinc acetate which is effective in maintaining oral moisture and aloe is useful for reducing irritation, pain and inflammation so as to reduce pain in burning mouth syndrome. Conclusion: Treatment in this case was successful with good cooperation from the patient to accelerate healing.
Co-Authors Diah Savitri E Dwi Setyaningtyas, Dwi Esti Kurniawati Hendri Susanto Hening Tuti Hendarti I Gusti Ngurah Putra Dermawan I Nyoman Gede Juwita Putra I Nyoman Gede Juwita Putra I Nyoman Gede Juwita Putra I Nyoman Gede Juwita Putra IGN Putra Dermawan Israyani Ni Nyoman Gemini Sari Nurhilailah Nurhilailah Priyo Hadi Priyo Hadi, Priyo Rina Kartika Sari Rina Kartika Sari Sari, Rina Kartika Savitri E, Diah